Nanobiomedicine Division, Sirius University of Science and Technology, 1 Olimpiyskiy Ave, 354340 Sirius, Russia.
Moscow Institute of Physics and Technology, 1A Kerchenskaya St., 117303 Moscow, Russia.
Int J Mol Sci. 2023 Jun 25;24(13):10623. doi: 10.3390/ijms241310623.
Recent developments in the field of nanomedicine have introduced a wide variety of nanomaterials that are capable of recognizing and killing tumor cells with increased specificity. A major limitation preventing the widespread introduction of nanomaterials into the clinical setting is their fast clearance from the bloodstream via the mononuclear phagocyte system (MPS). One of the most promising methods used to overcome this limitation is the MPS-cytoblockade, which forces the MPS to intensify the clearance of erythrocytes by injecting allogeneic anti-erythrocyte antibodies and, thus, significantly prolongs the circulation of nanoagents in the blood. However, on the way to the clinical application of this approach, the question arises whether the induced suppression of macrophage phagocytosis via the MPS-cytoblockade could pose health risks. Here, we show that highly cytotoxic doxorubicin- or clodronate-loaded liposomes, which are widely used for cancer therapy and biomedical research, induce a similar increase in the nanoparticle blood circulation half-life in mice as the MPS-cytoblockade, which only gently and temporarily saturates the macrophages with the organism's own erythrocytes. This result suggests that from the point of view of in vivo macrophage suppression, the MPS-cytoblockade should be less detrimental than the liposomal anti-cancer drugs that are already approved for clinical application while allowing for the substantial improvement in the nanoagent effectiveness.
纳米医学领域的最新进展引入了多种纳米材料,这些材料能够提高特异性识别和杀死肿瘤细胞的能力。阻止纳米材料广泛引入临床环境的主要限制因素是它们通过单核吞噬细胞系统(MPS)快速从血液中清除。克服这一限制的最有前途的方法之一是 MPS-cytoblockade,它通过注射同种异体抗红细胞抗体迫使 MPS 加强红细胞的清除,从而显著延长纳米剂在血液中的循环时间。然而,在这种方法走向临床应用的过程中,出现了一个问题,即通过 MPS-cytoblockade 诱导的巨噬细胞吞噬作用的抑制是否会带来健康风险。在这里,我们表明,广泛用于癌症治疗和生物医学研究的高细胞毒性阿霉素或氯膦酸酯负载脂质体,与 MPS-cytoblockade 一样,在小鼠中诱导纳米颗粒血液循环半衰期相似的增加,而 MPS-cytoblockade 只是温和且暂时地用机体自身的红细胞使巨噬细胞饱和。这一结果表明,从体内巨噬细胞抑制的角度来看,MPS-cytoblockade 应该比已经批准临床应用的脂质体抗癌药物的危害性更小,同时允许显著提高纳米剂的效果。
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